Most Relevant Information
Provider Data
| NPI Number: | 1003677949 |
| Provider Name: | ELANA C COOPERMAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 096451-01 |
Most Important Dates
| Enumeration Date: | 01/18/2024 |
| Last Updated: | 01/27/2024 |
Provider Practice Location
221 JERICHO TPKE
SYOSSET
NY
117914515
Practice Location Phone/Fax
| Phone: | 5164966449 |
| Fax: |
Provider Mailing Location
221 JERICHO TPKE
SYOSSET
NY
117914515
Provider Mailing Phone/Fax
| Phone: | 5164966449 |
| Fax: |